International Expert-Based Consensus Definition, Classification Criteria, and Minimum Data Elements for Osteoradionecrosis of the Jaw: An Interdisciplinary Modified Delphi Study.
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Moreno Amy C, Watson Erin E, Humbert-Vidan Laia, Peterson Douglas E, van Dijk Lisanne V, Urbano Teresa Guerrero, Bosch Lisa Van den, Hope Andrew J, Katz Matthew S, Hoebers Frank J P, Wesson Ruth A Aponte, Bates James E, Bossi Paolo, Dayo Adeyinka F, Doré Mélanie, Fregnani Eduardo Rodrigues, Galloway Thomas J, Gelblum Daphna Y, Hanna Issa A, Henson Christina E, Kiat-Amnuay Sudarat, Korfage Anke, Lee Nancy Y, Lewis Carol M, Lynggaard Charlotte Duch, Mäkitie Antti A, Magalhaes Marco, Mowery Yvonne M, Muñoz-Montplet Carles, Myers Jeffrey N, Orlandi Ester, Patel Jaymit, Rigert Jillian M, Saunders Deborah, Schoenfeld Jonathan D, Selek Ugur, Somay Efsun, Takiar Vinita, Thariat Juliette, Verduijn Gerda M, Villa Alessandro, West Nicholas S, Witjes Max J H, Won Alex M, Wong Mark E, Yao Christopher M K L, Young Simon W, Al-Eryani Kamal, Barbon Carly E A, Buurman Doke J M, Dieleman François J, Hofstede Theresa M, Khan Abdul Ahad, Otun Adegbenga O, Robinson John C, Hum Lauren, Johansen Jorgen, Lalla Rajesh, Lin Alexander, Patel Vinod, Shaw Richard J, Chambers Mark S, Ma Daniel, Singh Mabi, Yarom Noam, Mohamed Abdallah Sherif Radwan, Hutcheson Katherine A, Lai Stephen Y, Fuller Clifton David
Аннотация
METHODS AND MATERIALS: The Orodental Radiotherapy-Associated Late-Effects Consortium comprised 69 international experts, including representatives from medical, surgical, radiation oncology, and oral/dental disciplines. Using a web-based modified Delphi technique, panelists classified descriptive cases using existing classification systems, reviewed systems for feature extraction and specification, and iteratively classified cases based on clinical/imaging feature combinations.
RESULTS: The Consortium ORNJ definition was developed in alignment with Systematized Nomenclature of Medicine - Clinical Terms (SNOMED-CT) terminology and recent International Society of Oral Oncology-Multinational Association for Supportive Care in Cancer and the American Society of Clinical Oncology (ISOO-MASCC-ASCO) guideline recommendations. Case review using existing ORNJ classification systems showed high rates of inability to classify (up to 76%). Ten consensus statements and 9 minimum data elements (MDEs) were outlined for prospective collection and classification of precursor/ORNJ disease states.
CONCLUSIONS: This study provides an international, consensus-based definition and MDE foundation for standardized ORNJ reporting in cancer survivors treated with radiation therapy. Head and neck surgeons, radiation, surgical, medical oncologists, and dental specialists should adopt MDEs to enable scalable health information exchange and analytics. Work is underway to develop both a human- and machine-readable knowledge representation for ORNJ (ie, ontology) and multidisciplinary resources for dissemination to improve ORNJ reporting in academic and community practice settings.